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Pathology Modernisation the biomedical scientist perspective

Pathology Modernisation the biomedical scientist perspective. Sarah May Executive Head of Strategy. Pathology skill mix. Biomedical scientists Clinical scientists Cytology screeners Laboratory assistants Medical consultants Medical technical officers. Agenda for Change.

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Pathology Modernisation the biomedical scientist perspective

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  1. Pathology Modernisationthe biomedical scientist perspective Sarah May Executive Head of Strategy

  2. Pathology skill mix • Biomedical scientists • Clinical scientists • Cytology screeners • Laboratory assistants • Medical consultants • Medical technical officers

  3. Agenda for Change • Positive outcome • Recognition of and reward for knowledge skills and responsibilities • Negative outcome • Increased pathology staff costs • Workforce reconfiguration

  4. Demographic Pressures • Approx. 22% in 50 – 60 age group • Retirement numbers = new registrant numbers • Male:female ratio

  5. Technology pressures • Increased diagnostic and treatment intervention • Increased pathology capacity • 24hr hospital service • Cost

  6. Organisational pressures • Pathology networks • centralisation, rationalisation • Primary care pathology provision • High street pathology • Independent sector involvement

  7. Carter staff recommendations • Review roles and structures to reduce complexity • Develop skills to improve efficiency • Access to new and extended roles beyond traditional boundaries • New staff with new skills • Greater workforce flexibility

  8. Roles and structures • Implementation of NOS and HCSCF • Erosion of professional ‘differences’ • Emphasis on functions and competence

  9. Biomedical scientist skills • Biomedical science honours degree • Vocational • Generic • Integrated clinical placements • Fit for purpose • Discipline specific specialist skills

  10. Institute Qualification Structure Advanced Specialist Diploma Diploma of Diploma of expert practice extended practice Higher Specialist Diploma MSc Specialist Diploma Graduation + Registration

  11. Extended and advanced roles • IBMS / RCPath partnerships • Cervical cytology • Non-gynaecological cytology • Ophthalmic pathology • Bowel cancer screening

  12. Primary care pathology services • Community biomedical scientists • Training and QC role • Pharmacy and nursing partnerships

  13. Associate practitioners • Access to biomedical science knowledge base • Defined scope of practice • Different from current MLA • Biomedical scientist mindset • ?? 25% pathology workforce

  14. Summary of BMS position • Registration qualification delivers fitness for purpose and flexibility • Ability to specialise and diversify • Specific and relevant body of knowledge • Expertise in training and quality

  15. Future key roles • Training and integration of associate practitioners into pathology workforce • Training of primary care staff for delivering pathology services • Quality control – of all diagnostic services • Increased scientific, diagnostic and interpretive input

  16. Conclusions • Maintenance or reduction of WTE biomedical scientist numbers • Better use of knowledge and skills • Opportunities beyond acute sector laboratory environment • Expansion of extended advanced and consultant roles

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